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Private and Confidential

All fields marked * are mandatory.

SECTION 1 - PERSONAL DETAILS
















Note availability is subject to what vacancies are available at the time

Note availability is subject to what vacancies are available at the time


SECTION 2 - EDUCATION AND TRAINING (only complete this section if applying for an apprentiship position)

















SECTION 3 - EMPLOYMENT DETAILS

Please list below your past and present employment (maximum 4) including any periods of unemployment.




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Have you ever applied to Go North East before?: *
Have you ever been employed by Go North East before?: *

This should include depot, job title and your reason for leaving.

SECTION 4 - REFERENCES


Reference 1: Please include Name, Job Title, Address and Telephone Number.

Reference 2: Please include Name, Job Title, Address and Telephone Number.

SECTION 5 - DRIVING LICENCE DETAILS

If you hold a PCV licence, is the licence:

Please include: Date of Conviction; Offence Code; Date of Offence; Fine; Disqualification Period and any Penalty Points
Do you have any motoring prosecutions pending?: *


Has your licence or any category within it (eg. PCV, LVG) ever been refused or revoked?: *


Have you been involved in any road traffic accident in the last two years, regardless of blame?: *


SECTION 6 - SECURITY DECLARATION

Have you ever been convicted, cautioned, fined or imprisoned for any offence other than motoring? (spent convictions under the terms of the Rehabilitation of Offenders Act 1974 need not be disclosed - If you are unsure what constitutes a spent conviction, please contact the Criminal Records Bureau).: *

Go North East will carry out a Criminal Record check on all prospective employees to evaluate unspent criminal convictions as part of the selection process. In addition overseas criminal record checks may be necessary for candidates with less than 5 years Residency in the UK.

SECTION 7 - SUPPLEMENTARY INFORMATION





SECTION 8 - HOURS OF AVAILABILITY

Indicate full or part time: *
Days:
Hours:

Declaration

By checking the declaration box below, I can confirm that I have read all of the terms and conditions of employment with Go-North East and that all of the information provided is accurate and correct.

I also agree that any deliberate omissions may result in the termination of my employment.

Please check the appropriate box:
*